“Medicaid Long-Term Services and Supports: Home and Community-Based Services (HCBS)” (210-RICR-50-10-1)


210-RICR-50-10-1 ACTIVE RULE

My Page Title

1.1Overview and Purpose

1.2Legal Authority

1.3Incorporated Materials

1.4Definitions

1.5Accessing Medicaid Home and Community Based Services

1.6Person-Centered Planning and Conflict-Free Case Management

1.7Medicaid Home and Community-Based Long-Term Services and Supports

1.8Limitations on the Availability of Medicaid HCBS

1.9HCBS Setting Requirements


Title 210 Executive Office of Health and Human Services
Chapter 50 Medicaid Long-Term Services and Supports
Subchapter 10 Home & Community Based LTSS
Part 1 “Medicaid Long-Term Services and Supports: Home and Community-Based Services (HCBS)” (210-RICR-50-10-1)
Type of Filing Amendment
Regulation Status Active
Effective 01/30/2025

Regulation Authority:

R.I. Gen. Laws § 42-7.2-11
Chapter 40-6
Chapter 40-8
Title XIX of the Social Security Act

Purpose and Reason:

This regulation is being amended to comply with the person-centered planning and conflict-free case management requirements for all Medicaid home and community-based services (HCBS) under federal regulations (42 C.F.R. Part 441). This update also includes a more detailed description of EOHHS' ongoing monitoring process for compliance with the federal HCBS Settings requirements. The amendment also incorporates the federally-accepted definitions of HCBS as authorized under the approved Section 1115 waiver and makes other technical changes to correct formatting and utilize the preferred term for program participants.

Rulemaking Documents are organized by document type and are part of this rule’s rulemaking record (R.I. Gen. Laws § 42-35-2.3). If multiple documents of the same type are listed below, each is a unique document. If there are multiple Public Notice of Proposed Rulemaking documents, view each document to identify the most recently amended version, as it may be amended at any point during the Public Comment Period.